Potter County, TX · Potter County
Statement of Inability to Afford Payment of Court Costs or an Appeal Bond
This bilingual court form is for people who cannot afford court costs or an appeal bond and need to file a statement with the court.
At a glance
- Issued by
- City of Potter County · Potter County, Potter County, Texas
- Notarization
- Not required: file this form without a notary.
- Official source
- co.potter.tx.us
- Blank form
- Download the PDF
- Catalogued
- Machine-readable
- JSON record · about the forms index
What this form is
The form lets a person explain their financial situation and state that they cannot afford court costs or an appeal bond. It asks for personal information, dependents, income, assets, expenses, debts, and other supporting facts. The signer selects either a declaration or an affidavit; the form says the affidavit option is for people who do not want to list their address for privacy or safety concerns.
Who needs it
People who cannot afford court costs or an appeal bond and need to submit a financial statement to the court can use this form.
How to submit it
File the form with the court; the clerk’s office fills in the cause number when you file it.
About notarization
This document can be signed without a notary using the declaration; the alternative affidavit must be completed before a notary.
How to submit this form
- 1
Download the Form
Download the bilingual statement form.
- 2
Complete the Form
Fill in your personal and financial information, then select the declaration or affidavit option.
- 3
Gather Supporting Documents
If applicable, attach proof of public benefits or additional supporting facts as described in the form.
- 4
File With the Court
File the completed form with the court; the clerk’s office fills in the cause number.
Frequently asked questions
- Do I need a notary for the Statement of Inability to Afford Payment of Court Costs or an Appeal Bond?
- No, if you complete the declaration option. The form says the alternative affidavit must be filled out before a notary if you do not want to list your address for privacy or safety concerns.
- How do I submit the Statement of Inability to Afford Payment of Court Costs or an Appeal Bond?
- File the form with the court. The clerk’s office fills in the cause number when you file it.
- What information does the form ask for?
- It asks for personal information, dependents, income, public benefits, assets, monthly expenses, debts, and facts supporting your financial situation.
- Can I leave my address off the form?
- The form provides an affidavit option for people who do not want to list their address for privacy or safety concerns. That option must be completed before a notary.